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基于定制干预和计划行为理论的糖尿病教育计划的有效性:群随机对照试验方案
Author(s) -
CaroBautista Jorge,
VillaEstrada Francisca,
GómezGonzález Alberto,
LupiáñezPérez Inmaculada,
MorillaHerrera Juan Carlos,
KaknaniUttumchandani Shakira,
GarcíaMayor Silvia,
MoralesAsencio José Miguel
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14580
Subject(s) - psychological intervention , randomized controlled trial , medicine , protocol (science) , theory of planned behavior , population , intervention (counseling) , family medicine , clinical trial , nursing , gerontology , alternative medicine , control (management) , computer science , environmental health , surgery , pathology , artificial intelligence
Aim To measure the Effectiveness of a Diabetes Education Program for people with T2DM, based on Tailored interventions and the Theory of Planned Behaviour. Design Cluster randomized controlled clinical trial. Methods This multicentre study will be carried out at 30 primary healthcare centres, where 436 persons with Type 2 Diabetes Mellitus (T2DM), aged between 18–75 years, will be recruited. The experimental educational program to be applied is modelled using components obtained from a systematic review and prior qualitative analysis. In addition, a taxonomy of nursing practice is used to standardize the program, based on the Theory of Planned Behaviour as a conceptual model. The intervention will be carried out by community nurses, using ADAPP‐Ti ® , an application developed with FileMaker Pro v.18. The control group will receive usual care and data will be collected at 6, 12, and 18 months, for both groups. The primary outcome considered will be glycosylated haemoglobin and cardiovascular factors, while the secondary ones will be tobacco consumption, body mass index, barriers to self‐care, health‐related quality of life, and lifestyle modification. The protocol was approved by the Ethics Committee of the Province of Malaga (Spain) in November 2014. Discussion The degree of metabolic control in T2DM is not always associated with healthy lifestyles and significant levels of medication are often prescribed to achieve clinical objectives. An intervention focused on needs, based on the best available evidence and a solid conceptual framework, might successfully consolidate appropriate self‐care behaviour in this population. Impact The study will result in the publication of an educational program featuring well‐defined interventions and activities that will enable clinicians to tailor health care to the individual's needs and to combat treatment inertia in attending this population.